Permit (2) CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: FPS2020-00004
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2020
Parcel: 1 S 135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 400
Project: Miller Consulting Engineers Subdivision: ASHBROOK FARM Lot: 5
Project Description: Fire sprinkler. Adding(63)fire sprinkler heads for TI.
Contractor: PATRIOT FIRE PROTECTION INC Owner: PLAZA WEST OWNER LLC
4708 NE MINNEHAHA ST BY CHIEF FINANCIAL OFFICER
VANCOUVER,WA 98661 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 360-699-4403 PHONE: 503-542-5895
FAX: 360-699-4485
FEES
Description Date Amount
Specifics: Permit Fee-COM 01/27/2020 $252.84
12%State Surcharge-Building 01/27/2020 $30.34
Type of Use: COM Plan Review-Fire Life Safety-COM 01/27/2020 $101.14
Class of Work: ALT Type of Const: Info Process/Archiving-Lg$2.00(over 01/27/2020 $2.00
Occupancy Grp: B Height: 50 ft 11x17)
Stories: 4 Info Process/Archiving-Sm$0.50(up to 01/27/2020 $12.50
11x17)
Misc Administration Fee 01/27/2020 $5.00
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Wet
Standpipe Required: Yes Hazard: LT
Density: 0.1 Design Area: 1500
K Factor: 5.6
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $403.82
Valuations: Required Items and Reports(Conditions)
Sprinkler Valuation: $16,450.00
Residential Square Footage: 0
Fire Alarm Valuation: $0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions, 'tto�OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,�"/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Fire Protection System FOR OFFICE USE ONFv
City of Tigard Received ��IP . '✓5,4,AO • /
Date/B : ,
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ..Date/B : __44 1111 e L "
I./(i A r n Inspection Line: 503.639.4175 Date Ready/By: Al Juris: Pi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 4- 2-0 (l-' Supplemental Information
' '97 L— '/�D
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Pe . fees*are based on the value of the work perfo e• ed.
Indicat- e value(rounded to the nearest dollar)o 1
®Addition/alteration/replacement 0 Other: equipment, , aterials,labor,overhead,and the t .fit for the
CATEGORY OF CONSTRUCTION work indicate. on this application.
dwellingValuation: S
0 1-and 2-family [�Commercial/industrial
•
E Accessory building 0 Multi-family Number of bedroom
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9600 SW Oak Street New dwelling are.. quare feet
City/State/ZIP: Tigard, OR 97223 Garage/carpo area: squ. e feet
Suite/bldg./apt.no.: 400 Project name:Miller Consulting Engineers Coverer torch area: square
Cross street/directions to job site: SW 95th Ave De area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Extend system starting at existing floor control Valuation: $ 16,450
in west stairwell. Existing building area: same square feet
New building area: same square feet
E] PROPERTY OWNER 0 TENANT Number of stories: 5
Name: Collier International Type of construction: 2B
Address:
851 SW 6th Ave, suite 1200 Occupancy groups:
City/State/ZIP: Portland, OR 97204 Existing: B
Phone:(5 03 4 9 9 0 0 6 3 Fax:( ) B
New:
® APPLICANT 0 CONTACT PERSON .,. .
NOTICE
Business name: Patriot Fire Protection, Inc
All contractors and subcontractors are required to be
Contact name: Ted Baker licensed with the Oregon Construction Contractors Board
4708 NE Minnehaha Street under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed.If the
City/State/ZIP: Vancouver, WA 98661 applicant is exempt from licensing,the following reasons
apply:
Phone:(360) 699 4403 Fax: :(360 ) 699 4485
E-mail: ted.baker@patriotfire.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee scbedale)
Business name: same as above
Permit fee:
Address:
City/State/ZIP: State surcharge(12%of permit fee):
FLS plan review(40%of permit fee):
Phone:( ) Fax:( ) (Due upon application submittal.)
CCB lic.: 7 0 8 2 2 Total permit fees:
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Print name: Ted Baker Date: 1-14-20 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Service Board.
I:\Bui!ding\Permits\FPS-PermitApp_07t5 t 4.doe 440-46I 3T(I 1/02/COM/WEB)
P)UP oc)/ 0o X37
City of Tigard: Fire Protection Permit Checklist
Page 2-Supplemental Information
Describe work to be done:
1.) Type of Work: 2.) Addition/alteration only to sprinkler heads: 3.) Addition/alteration only to alarm devices:
❑ New system Number of sprinkler heads: 6 3 Number of alarm devices:
❑ Addition or ❑ 1-10 heads: Affidavit required and El 1-5 devices: Affidavit required and
Alteration (3) copies of sketch showing area (3) copies of sketch showing area
to existing of work within building structure of work within building structure
system
® 11+ heads: Plan review required and El 6+ devices: Plan review required and
(3) sets of plans. (3) sets of plans.
Additional description of work:
Type of System (Complete A,B, C or D as applicable):
A.) Commercial Sprinkler
® Wet ❑ Dry
Additional Standpipes no
Information: Hazard Group light
Density .10 (existing)
Design Area N/A
K. Factor 5.6& 11.2
Sprinkler Project Valuation: $ 16.450
B.) Type I - Hood Fire Suppression System
Hood Project Valuation: $
C.) Fire Alarm
Submittal shall Battery Calculations El Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D.) Residential Sprinkler(Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $198.75
2,001 to 3,600 $246.45
3,601 to 7,200 $310.05
7,201 and greater $404.39
Sprinkler Project Square Footage: sq. ft.
Fire Protection Permit Fees
Project valuation subtotal (see A,B&C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (12%of permit fee): $
FLS Plan Review(40% of permit fee): $
TOTAL: $
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